Return to work following distal triceps repair

被引:9
作者
Agarwalla, Avinesh [1 ]
Gowd, Anirudh K. [2 ]
Jan, Kyleen [3 ]
Liu, Joseph N. [4 ]
Garcia, Grant H. [5 ]
Naami, Edmund [6 ]
Wysocki, Robert W. [3 ]
Fernandez, John J. [3 ]
Cohen, Mark S. [3 ]
Verma, Nikhil N. [3 ]
机构
[1] Westchester Med Ctr, Dept Orthoped Surg, Valhalla, NY USA
[2] Wake Forest Univ, Dept Orthopaed Surg, Baptist Med Ctr, Winston Salem, NC USA
[3] Rush Univ, Med Ctr, Midwest Orthopaed & Rush, Chicago, IL USA
[4] Loma Linda Med Ctr, Dept Orthoped Surg, Loma Linda, CA USA
[5] Seattle Orthopaed Ctr, Seattle, WA USA
[6] Univ Illinois, Sch Med, Chicago, IL USA
关键词
Return to work; distal triceps repair; outcomes; elbow; triceps tear; triceps rupture;
D O I
10.1016/j.jse.2020.07.036
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: The purpose of this study was to evaluate the rate and duration of return to work in patients undergoing distal triceps repair (DTR). Methods: Consecutive patients undergoing DTR from 2009 to 2017 at our institution were retrospectively reviewed at a minimum of 1 year postoperatively. Patients completed a standardized and validated work questionnaire; a visual analog scale for pain; the Mayo Elbow Performance Score; the short version of the Disabilities of the Arm, Shoulder and Hand questionnaire; and a satisfaction survey. Results: Of 113 eligible patients who underwent DTR, 81 (71.7%) were contacted. Of these patients, 74 (91.4%) were employed within 3 years prior to surgery (mean age, 46.0 +/- 10.7 years; mean follow-up, 5.9 +/- 3.9 years). Sixty-nine patients (93.2%) returned to work by 2.2 +/- 3.2 months postoperatively. Sixty-six patients (89.2%) were able to return to the same level of occupational intensity. Patients who held sedentary-, light-, medium-, and high-intensity occupations were able to return to work at a rate of 100.0%, 100.0%, 80.0%, and 76.9%, respectively, by 0.3 +/- 0.5 months, 1.8 +/- 1.5 months, 2.5 +/- 3.6 months, and 4.8 +/- 3.9 months, respectively, postoperatively. Of the workers' compensation patients, 15 (75%) returned to work by 6.5 +/- 4.3 months postoperatively, whereas 100% of non-workers' compensation patients returned to work by 1.1 +/- 1.6 months (P <.001). Seventy-one patients (95.9%) were at least somewhat satisfied, with 50 patients (67.6%) reporting excellent satisfaction. Seventy-two patients (97.3%) would undergo the operation again if presented the opportunity. A single patient (1.4%) required revision DTR. Conclusions: Approximately 93% of patients who underwent DTR returned to work by 2.2 +/- 3.2 months postoperatively. Patients with higher-intensity occupations had an equivalent rate of return to work but took longer to return to their preoperative level of occupational intensity. Information regarding return to work is imperative in preoperative patient consultation to manage expectations. (C) 2020 Published by Elsevier Inc. on behalf of Journal of Shoulder and Elbow Surgery Board of Trustees.
引用
收藏
页码:906 / 912
页数:7
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